{"id":2530,"date":"2009-03-05T11:42:36","date_gmt":"2009-03-05T11:42:36","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/infap\/"},"modified":"2025-05-14T19:10:55","modified_gmt":"2025-05-14T19:10:55","slug":"infap","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/infap\/","title":{"rendered":"Diagnostic Criteria for Acute Pharyngitis"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<p style=\"font-weight: 400;\"><strong>Adults<\/strong><\/p>\n<p style=\"font-weight: 400;\">Clinical suspicion of streptococcal pharyngitis (e.g., fever, tonsillar swelling, exudate, enlarged\/tender anterior cervical lymph nodes, absence of cough or coryza)\u00a0<em>with<\/em><\/p>\n<ul style=\"font-weight: 400;\">\n<li>History of rheumatic fever\u00a0<em>or<\/em><\/li>\n<li>Documented household exposure\u00a0<em>or<\/em><\/li>\n<li>Positive rapid strep screen<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p style=\"font-weight: 400;\"><strong>Children<\/strong><\/p>\n<p style=\"font-weight: 400;\">Clinical suspicion of streptococcal pharyngitis (e.g., tonsillar swelling, exudate, enlarged\/tender anterior cervical lymph nodes, absence of coryza)\u00a0<em>with<\/em><\/p>\n<ul style=\"font-weight: 400;\">\n<li>History of rheumatic fever\u00a0<em>or<\/em><\/li>\n<li>Documented household exposure\u00a0<em>or<\/em><\/li>\n<li>Positive rapid strep screen\u00a0<em>or<\/em><\/li>\n<li>Positive throat culture (for those with negative rapid strep screen)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Streptococcal Pharyngitis Score\u00a0<\/strong><strong>(<\/strong><strong>Sore Throat Score<\/strong><strong>)<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><em>Symptoms<\/em><\/td>\n<td style=\"text-align: center;\"><em>Points<\/em><\/td>\n<\/tr>\n<tr>\n<td>Fever (subjective or measured in office)<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Absence of cough<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Tender anterior cervical adenopathy<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Tonsillar swelling or exudates1<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Age<br \/>\nYounger than 15 years<br \/>\n15 to 45 years<br \/>\nOlder than 45 years<\/td>\n<td style=\"text-align: center;\">+1<br \/>\n0<br \/>\n-1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">SCORING:<\/p>\n<ul style=\"font-weight: 400;\">\n<li>0 or -1 points: streptococcal infection ruled out (2 percent);<\/li>\n<li>1 to 3 points: order rapid test and treat accordingly;<\/li>\n<li>4 to 5 points: probable streptococcal infection (52 percent), consider empiric antibiotics.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>References:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Vincent MT, Celestin N, Hussain AN. Pharyngitis. Am Fam Physician. 2004 Mar 15;69(6):1465-70.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15053411\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>McIsaac WJ, Goel V, To T, Low DE. The validity of a sore throat score in family practice. CMAJ. 2000 Oct 3;163(7):811-5.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11033707\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Neuner JM, Hamel MB, Phillips RS, Bona K, Aronson MD. Diagnosis and management of adults with pharyngitis. A cost-effectiveness analysis. Ann Intern Med. 2003 Jul 15;139(2):113-22.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12859161\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Created: Feb 21, 2005<\/p>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[39],"tags":[231,230,16,15,14,13,1624,1344,1623,1625],"class_list":["post-2530","post","type-post","status-publish","format-standard","hentry","category-infetious-disease","tag-acute","tag-aguda","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-faringitis","tag-infectious","tag-orl","tag-pharyngitis"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2530","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2530"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2530\/revisions"}],"predecessor-version":[{"id":9420,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2530\/revisions\/9420"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2530"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2530"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2530"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}